基于患者画像脊髓损伤康复护理平台的构建与应用研究

doi:10.3761/j.issn.0254-1769.2024.22.001

摘要/Abstract

摘要：

目的构建基于患者画像技术的脊髓损伤康复护理平台并评价其应用效果。方法基于人工智能技术实现多源数据融合，构建可提供系统化、个性化信息支持的患者画像康复护理平台。采用便利抽样法，选取浙江省某三级甲等医院2023年7月—12月收治的53例脊髓损伤患者作为试验组，依托康复护理平台，实施基于患者画像技术的智能干预；选取2023年1月—6月住院的53例脊髓损伤患者作为对照组，实施常规信息支持干预。比较两组在干预前、干预2、4和12周后的自我效能感、日常生活能力以及生活质量的差异。结果干预12周，最终试验组45例、对照组43例完成研究，重复测量方差分析结果显示，不同时间点两组自我效能感、日常生活能力和生活质量的时间效应、组间效应和交互效应均具有统计学意义（P<0.05），且试验组均优于对照组。结论基于患者画像的康复护理平台对提升脊髓损伤患者的自我效能感、生活自理能力和生活质量具有积极作用。

关键词: 人工智能, 患者画像, 脊髓损伤, 康复护理

Abstract:

Objective To construct a rehabilitation care platform for spinal cord injury patients，based on patient portrait technology and to validate its application effect. Methods Artificial intelligence technology was used to realize the fusion of data. We constructed a patient portrait rehabilitation nursing system that can provide systematic and personalized information support. By the convenience sampling method，53 perioperative patients with spinal cord injury from July 2023 to December 2023 were selected as the test group to implement the intelligent intervention based on patient portrait technology；53 perioperative patients with spinal cord injury who were hospitalized from January 2023 to June 2023 were selected as the control group to implement the conventional information support intervention. The self-efficacy，self-care ability，and quality of life were compared before the intervention，and 2 weeks，4 weeks，12 weeks after the intervention between the 2 groups. Results 45 cases in the experimental group and 43 cases in the control group reached the endpoint of the study after 12 weeks of intervention. The ANOVA of the 2 groups showed the test group having a greater advantage over the control group，with statistically significant differences in self-efficacy，ability to perform daily living tasks，and quality of life between groups，intergroup effect，and interaction effect（P<0.05）. Conclusion The rehabilitation care platform based on patient portraits has a positive effect on improving self-efficacy，self-care ability and quality of life for spinal cord injury patients.

Key words: Artificial Intelligence, Patient Portrait, Spinal Cord Injury, Rehabilitation Nursing

戴雅琴, 邵婷, 姚利锋, 胡菲, 贾勤. 基于患者画像脊髓损伤康复护理平台的构建与应用研究[J]. 中华护理杂志, 2024, 59(22): 2693-2699.

DAI Yaqin, SHAO Ting, YAO Lifeng, HU Fei, JIA Qin. Construction and application of a spinal cord injury rehabilitation care platform based on patient portrait[J]. Chinese Journal of Nursing, 2024, 59(22): 2693-2699.

图/表 4

表1 两组一般资料的比较

Table 1 Comparison of general data between the 2 groups

表2 两组干预前后康复锻炼自我效能感量表得分的比较（分，$\bar{x}±s$）

Table 2 Comparison of rehabilitation self-efficacy scale scores before and after intervention of 2 groups（scores，$\bar{x}±s$）

表3 两组干预前后脊髓独立性评定量表得分的比较（分，$\bar{x}±s$）

Table 3 Comparison of spinal cord independence assessment scale scores before and after intervention of the 2 groups（scores，$\bar{x}±s$）

表4 两组干预前后世界卫生组织生存质量测定量表简表得分的比较（分，$\bar{x}±s$）

Table 4 Comparison of the scores of WHOQOL-BREF before and after intervention of the 2 groups（scores，$\bar{x}±s$）

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